Visa Reference Form (Sri Lanka)

Transcription

Visa Reference Form (Sri Lanka)
Visa Reference Form (Sri Lanka)
(To be filled in by Sri Lankan nationals, Sri Lankan refugees and foreigners of Sri Lankan origin)
To: High Commission of India, Colombo
From: Indembassy,
Paris
Reference no.:FRAP___________
Date:______________
Please fill up all details/particulars in BLOCK LETTERS
First name
Surname
Father’s name
Mother’s name
Spouse’ name
Place of birth
Date of birth in numerals
and words
Sex
French Passport : French Titre de Voyage : Sri Lankan Passport
Type of travel document
(Please circle the type)
Ppt /Titre de Voyage
no..
Date & Place of issue
Previous passport/tire de
voyage no.
Date & Place of Issue
Present nationality
Present Passport No.
Date & Place of issue
Details of dual nationality
Since when are you
resident in the country of
domicile?
Address in the country of
domicile
Present occupation
Date of last visit to India
and previous visa details
Whether visa was ever
refused? If yes, give
details
Address in Sri Lanka
Exact purpose of visit
Proposed duration of visit
Number of
visits(proposed)
Signature of applicant
Cost recovered. Grateful send us your reply at an early date by return fax/e-mail.
On behalf of Mission